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Página de Inicio arrow Artículos Científicos arrow Store-and-forward teledermatology versus in-person visits: A comparison in pediatric teledermatology clinic
Store-and-forward teledermatology versus in-person visits: A comparison in pediatric teledermatology clinic Imprimir E-Mail
Viday A. Heffner MDa, c, , , Valerie B. Lyon MDb, David C. Brousseau MD, MSa, c, Kristin E. Holland MDb and Kenneth Yen MD, MSa, c. Journal of the American Academy of Dermatology , Volume 60, Issue 6, June 2009, Pages 956-961

Background

The role of teledermatology in the diagnosis of pediatric skin conditions has not been studied exclusively.

Objective

To determine the ability of a pediatric dermatologist to correctly diagnose rashes by history and digital images.

Methods

Consecutive, new referrals to the pediatric dermatology clinic with a rash were enrolled in the study. A history, demographic data, and digital photographs were obtained from each patient. The data were reviewed by a pediatric dermatologist who made a preliminary diagnosis. The child was then seen in person and a final diagnosis was made. Concordance and kappa values were calculated. Cases of diagnostic disagreement were analyzed for their effect on management.

Results

One hundred thirty-five patients were enrolled. Diagnostic concordance was 82% (95% confidence interval [CI], 73%-88%), and the kappa value was 0.80. Clinically relevant disagreement occurred in 12% of cases.

Limitations

The study was performed at a single site, theoretically limiting generalizability.

Conclusion

Teledermatology appears to have a useful role in the care of children with rashes.
 
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